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タイトル: 最近1年間における上部尿路結石に対する経皮的破砕摘出治療の成績 (経尿道的尿管操作を含む)
その他のタイトル: Changing modality of the treatment in upper urinary tract calculi. Percutaneous nephrolithotripsy and transurethro-ureteral lithotripsy
著者: 川村, 寿一  KAKEN_name
上田, 真  KAKEN_name
野々村, 光生  KAKEN_name
西村, 一男  KAKEN_name
西尾, 恭規  KAKEN_name
飛田, 収一  KAKEN_name
大石, 賢二  KAKEN_name
東, 義人  KAKEN_name
岡田, 裕作  KAKEN_name
竹内, 秀雄  KAKEN_name
吉田, 修  KAKEN_name
著者名の別形: Kawamura, Juichi
Ueda, Makoto
Nonomura, Mitsuo
Nishimura, Kazuo
Nishio, Yasunori
Hida, Shuichi
Ooishi, Kenji
Higashi, Yoshihito
Okada, Yusaku
Takeuchi, Hideo
Yoshida, Osamu
キーワード: Adult
Aged
Female
Humans
Kidney Calculi/radiography/therapy
Lithotripsy/methods
Male
Middle Aged
Recurrence
Ureteral Calculi/radiography/therapy
Urinary Calculi/radiography/therapy
発行日: Dec-1985
出版者: 泌尿器科紀要刊行会
誌名: 泌尿器科紀要
巻: 31
号: 12
開始ページ: 2183
終了ページ: 2192
抄録: 1984年3月から1985年4月までの間に超音波破砕により経皮的に治療した上部尿路結石70例(73腎単位)の成績を報告する.腎瘻を介して53例中49例に,経尿道的尿管操作により12例中11例の結石除去に成功した.合併症としては血尿と発熱が主で,3例に輸血を必要とした.経皮的超音波結石破砕法(PNL)は経尿道的尿管操作法(URS)とともに従来の手術法に代わる上部尿瘻結石治療法として有用であることが判明した.ESWL(体外衝撃波結石破砕法)の適応となる腎結石症例に対してはESWLとPNLの両治療法のあることを説明し,患者にその選択をゆだねるべきであると思われる
From March, 1984 to April, 1985, 70 cases of upper urinary tract calculi (73 renal units) were treated by percutaneous nephrolithotripsy or transurethro-ureteral lithotripsy, mainly utilizing ultrasonic lithotrite. While in the early period of treatment, two stage procedure of creation of nephrostomy tract and percutaneous nephrolithotripsy was performed for renal and upper or middle part of the ureteral calculi, one stage procedure, nephrostomy tract formation followed by ultrasonic nephrolithotripsy is commonly used in recent cases. During this period, conventional stone surgery was seen in 6 cases of pyelolithotomy and 2 of ureterolithotomy, while 52 cases of stone surgery were performed during the earlier period (from January, 1983 to February, 1984). Renal and upper or middle part of ureteral calculi were successfully removed in 49 out of 58 cases (84.5%). Most of the patients required 1 or 2 trials of percutaneous nephrolithotripsy. Middle or lower part of ureteral calculi were removed in transurethro-ureteral approach in 11 of the 12 cases. Hematuria and fever were most common complications after treatment and 3 patients required blood transfusion after 3 or 4 sessions of nephrolithotripsy. Percutaneous nephrolithotripsy and transurethro-ureteral lithotripsy are now widely used for treatment of upper urinary tract calculi, replacing the conventional surgical treatment. Moreover, very recently, extracorporeal shock wave lithotripsy is available in Japan. To the patients with renal calculi indicative of this treatment, both percutaneous nephrolithotripsy and extracorporeal shock wave lithotripsy are introduced and either way of treatment can be chosen by the patient himself.
URI: http://hdl.handle.net/2433/118693
PubMed ID: 3832919
出現コレクション:Vol.31 No.12

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